绵阳市男男性行为人群同伴教育覆盖现状及影响因素分析  

Status and influencing factors of MSM peer education in Mianyang

作　　者：王毅[1] 李六林[1] 樊静[2] 赵西和[1] 张昭[1] 杨晓玲[3] 刘江[4] 任廷飞 李伟[6] 笪旭辉 杨干金 王洪明 贾秀伟 廖平 

机构地区：[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组 [3]绵阳市涪城区疾病预防控制中心 [4]江油市疾病预防控制中心 [5]盐亭县疾病预防控制中心 [6]安县疾病预防控制中心 [7]绵阳市游仙区疾病预防控制中心 [8]三台县疾病预防控制中心 [9]梓潼县疾病预防控制中心 [10]北川羌族自治县疾病预防控制中心 [11]平武县疾病预防控制中心

出　　处：《华南预防医学》2016年第2期113-118,共6页South China Journal of Preventive Medicine

基　　金：四川省艾滋病防治社会动员项目(项目编号:2014-B-30)

摘　　要：目的了解男男性行为人群(MSM)艾滋病防治中同伴教育覆盖现状及其影响因素。方法 2014年4—10月,以绵阳市辖区9县(市、区)MSM为对象,在固定场所在知情同意下应用滚雪球抽样法,进行调查对象招募和自填式匿名行为学调查和血清学检测。结果共调查1 097人,年龄中位数为23岁,高中、中专及以下文化程度569人(51.9%),未婚906人(82.6%)。近1年接受过同伴教育覆盖率为72.6%(796/1 097),HIV阳性率为3.8%(42/1 097),梅毒阳性率为5.9%(41/733)。近1年接受、未接受过同伴教育HIV感染率分别为2.4%(19/796)、7.6%(23/301),两者差异具有统计学意义(P<0.01);梅毒感染率分别为5.2%(29/554)、6.7%(12/179),差异无统计学意义(P>0.05)。非条件logistic回归分析结果显示,调查对象接受同伴教育的可能性:户籍为本市其他县区、本省其他地区分别是本县区的0.390和0.420倍,认识当地MSM朋友数>10人是≤10人的4.591倍,寻找性伴范围为本市其他县区/省内其他地区是本县区的2.719倍,找性伴途径通过网络的是其他的0.510倍,近1周肛交次数≥2次是≤1次的2.280倍,近6月肛交有采取保护性措施是无保护者的4.228倍,HIV检测结果阳性是HIV阴性的0.186倍。结论 MSM同伴教育覆盖率地区间不平衡,整体水平有待进一步提高。同伴教育有效促进了安全性行为,降低了HIV感染风险,应巩固加强。Objective To investigate the covering status quo and influencing factors of the HIV/ AIDS prevention services in peer education among men who have sex with men （MSM） . Methods Using snowball sampling method, MSM subjects were recruited to conduct self-administered anonymous behavior investigation and serological detection from April to October 2014 at a proper fixed location after informed consent in 9 counties （cities or districts） of Mianyang, Sichuan Province. Results A total of 1 097 MSM were investigated and their median age was 23 years. Among the participants, 569 cases（51.9% ）had high school education level or below, 906 （82.6%） were unmarried. In the past one year, the coverage rate of peer education was 72.6% （796/1 097） , the positive rate of anti-HIV was 3.8% （42/1 097）, and the positive rate of syphilis was 5.9 % （41/733）. The HIV infection rates were 2.4% （19/796） for MSM who received the peer education and 7.6% （23/301） for those who did not （P 〈0.01 ） ; the syphilis in- fection rates were 5.2% （29/554） and 6.7% （12/179） for the two groups of MSM, respectively （ P 〉 0. 05 ）. Unconditional logistic regression analysis showed that the possibility of accepted peer education for the participants whose domicile was other counties in this city or other areas in this province were 0. 390 times or 0.420 times that for those whose domicile was in this counties/areas ; the possibility of accepted peer education for the participants whose number of local MSM friends 〉 10 was 4. 591 times that for those whose number of local MSM friends ~〈 10; for the participants who sought sexual partners in other areas of this city/province was 2. 719 times that of those who did it in the counties/areas where they were living; for the participants who sought sexual partners through the internet was 0. 510 times that for those who did it through other ways ; the participants who had anal sex ~〉 twice in the past one week was 2. 280 times that for those who had ana

关 键 词：同性恋 男性 HIV 同伴教育 因素分析 统计学 

分 类 号：R183.7[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]